Dme Mac Supplier Manual Jurisdiction B

Jurisdiction J Part A MAC. Jurisdiction J Part B MAC. Jurisdiction M Part A MAC. Jurisdiction M Part B MAC. Jurisdiction M Home Health and Hospice MAC. National Supplier Clearinghouse MAC. RRB Specialty MAC Providers. RRB Specialty MAC Beneficiaries ×. Jurisdiction C Supplier Manual. Updated 07.01.19. The files offered below are in Adobe PDF format. Download a free copy of Acrobat Reader. Summer 2019 Supplier Manual - Full Manual. Jurisdiction D DME MAC Supplier Manual NAS’ Role as a DME MAC CMS selected four insurance companies to process DMEPOS claims for the Medicare Fee-for-Service program.

  1. Dme Mac Jurisdiction B Supplier Manual
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Each Durable Medical Equipment Administrative Contractor (DME MAC) is responsible for processing claims for specific states and territories. Claims must be submitted to the DME MAC that serves the state or territory where the Medicare beneficiary permanently resides.
For example: A supplier is located in California. The supplier provides Medicare-covered items to a Medicare beneficiary who calls Minnesota home for eight months of the year, but who spends about four months in California. The supplier is to submit the claim in to Jurisdiction B where the Medicare beneficiary lives most of the year and not to Jurisdiction D where the supplier is located or where the beneficiary is temporarily living.
Below is a list of each DME MAC and the states and territories they service.
Jurisdiction A is serviced by Noridian Healthcare Solutions and includes Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont.
Jurisdiction B is serviced by CGS and includes Illinois, Indiana, Kentucky, Michigan, Minnesota, Ohio and Wisconsin.
Jurisdiction C is serviced by CGS and includes Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana, Mississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee, Texas, Virginia, West Virginia and the US Virgin Islands.
Jurisdiction D is serviced by Noridian Healthcare Solutions and includes Alaska, American Samoa, Arizona, California, Guam, Hawaii, Idaho, Iowa, Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Northern Mariana Islands, Oregon, South Dakota, Utah, Washington and Wyoming,
To view a map of the DME contractors and the areas they service, please click on the links below. Also, the NSC is happy to assist you with questions regarding your supplier file, the Medicare DMEPOS supplier standards, licensure issues and other NSC related topics. If you have questions related to claims, reimbursement, etc., please contact your DME MAC/Region.

Prior to the DME MAC label, they were also called Medicare A/B contractors. The primary role of the Durable Medical Equipment Medicare Administrative Contractors is for health care claims processing, and payment or reimbursement for Original Medicare and Medicare Advantage Plans. The payment and processing is an enormous task involving high.


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Medicare jurisdiction b dme mac. PDF download: CMS Manual System. 30 Jan 2020 11596.1 The DME MACs and the A/B MACs Part B shall download the Attachment A: 2020 Jurisdiction List for DMEPOS HCPCS Codes. 2020 Durable Medical Equipment Prosthetics, Orthotics, and – CMS. As AOPA reported earlier, CGS, the current Jurisdiction C DME MAC contractor, was awarded the Jurisdiction B contract on September 3, 2015. However, National Government Services (NGS), the current Jurisdiction B DME MAC, filed a formal protest causing CMS to halt the transition pending a review of the contract award by the Government Accountability office (GAO).

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Medicare Jurisdiction B DME Mac

PDF download:

www.cms.gov

Sep 3, 2015 … Durable Medical Equipment Medicare Administrative Contractor … The
Jurisdiction B DME MAC serves Medicare beneficiaries who reside in …

www.cms.gov

Mar 17, 2016 … Implementation of the Award for Jurisdiction B Durable Medical Equipment. (DME
) Medicare Administrative Contractor (MAC) Workload.

www.cms.gov

JA awarded to Noridian December 2015; implementation in progress. * JB
awarded to CGS in September 2015; implementation in progress. DME
Jurisdiction …

www.cms.gov

May 15, 2008 … DMERC and DME MAC Contacts. Revised: May 15 … Region B: 877-299-7900 (
IVR). 866-590-6727 … Region C: 1-800 MEDICARE. Region D: …

www.cms.gov

Mar 11, 2016 … SUBJECT: Implementation of the Award for Jurisdiction B Durable Medical
Equipment (DME). Medicare Administrative Contractor (MAC) …

www.cms.gov

Sep 10, 2015 … Durable Medical Equipment Medicare Administrative Contractor … The
Jurisdiction D DME MAC serves Medicare beneficiaries who reside in …

www.cms.gov

Mar 11, 2016 … Jurisdiction B (JB) Durable Medical Equipment (DME) Medicare … CMS does not
construe this as a change to the MAC Statement of Work.

www.cms.gov

DMEPOS SUPPLIER STANDARDS FOR MEDICARE ENROLLMENT …. DME
MAC: Durable Medical Equipment Medicare …. All States in Jurisdiction B. Illinois
.

www.cms.gov

Jun 30, 1993 … 50.2 – A/B MAC (A) or (HHH) Format for Durable Medical Equipment,. Prosthetic
… Coverage requirements are in the Medicare Benefit Policy.

www.cms.gov

Apr 24, 2012 … DME MAC's Payment Jurisdiction. 10.1.9.3 – A DME MAC Receives a Claim for
Services that are in A. Local B/MAC/Carrier's Payment …

oig.hhs.gov

Given the billions of dollars awarded to Medicare Administrative Contractors (
MACs) and the …. 10 A/B MAC jurisdictions and 4 DME MAC jurisdictions.
Medicare …. contract was still in effect and the recompete for the jurisdiction had
not.

www.gao.gov

Apr 30, 2015 … GAO found that the A/B and DME MACs are typically expected to carry … Key
Responsibilities of Medicare Administrative Contractors (MAC) 33 …. jurisdiction
that included responsibility for home health and hospice claims.

dhcfp.nv.gov

May 1, 2016 … APPENDIX B – COVERAGE AND LIMITATIONS POLICIES …. DURABLE
MEDICAL EQUIPMENT MEDICARE ADMINISTRATIVE CONTRACTOR …. the
DME. MAC Jurisdiction D Supplier Manual, Chapter 3 – Documentation.

www.gpo.gov

May 9, 2016 … Part A/Part B (A/B) Durable Medical Equipment (DME) Medicare … trative
Contractor (MAC) and the Single Testing Contractor (STC) …… Award of
Medicare Administrative Contractor (MAC) Contract for Jurisdiction 15. 1601 .

aging.ny.gov Banhospoderosos.com paragon ntfs for mac download.

Medicare Part A and Part B MAC for all of New York State is National
Government Services. …. NHIC is the Jurisdiction A Durable Medical Equipment
Medicare …

dhs.iowa.gov

May 23, 2014 … 5.1.6.1.2 A/B MAC Jurisdiction 3 . … 5.1.6.1.4 Legacy Medicare Part A and B
Contracts . …. 5.2.4.1.2 Jurisdiction D DME MAC [Noridian] .

www.mass.gov

Mar 5, 2010 … For durable medical equipment, those matters are covered in 130 CMR ….
MassHealth DME provider in accordance with 42 CFR 431.52(b) and 130 …. (e)
the Region A Durable Medical Equipment Carrier (DME Medicare Administrative
… the instructions established by the Region A DME MAC and in …

healthcaredelivery.cancer.gov

B = End stage renal disease (ESRD) beneficiary in the 18 month coordination
period with an … C = Conditional payment by Medicare; future reimbursement
expected. D = Automobile …. MTUSIND (for DME) … 1998; term. 02/2008) (
replaced by MAC #04202 — see below) …. JURISDICTION 1 — Part B MACs.
01002 = J1 …

www.justice.gov

Sep 2, 2015 … from Medicare prior to supplying DME to Medicare patients, and the … Court may
exercise personal jurisdiction over Qualium Corporation d/b/a …. Palmetto GBA (
“Palmetto”) was the MAC responsible for processing Medicare.

www.hsgac.senate.gov

Apr 23, 2013 … Durable medical equipment, covered under Medicare Part B, is … Heritage
Insurance Company (NHIC), DME MAC Jurisdiction A Supplier.

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Dme Mac Jurisdiction B Supplier Manual Chapter 5